WPC  77WPC >?yAO ?%2g @>?O>?Nr?Ow?OO,?[M{=(V<$~^oZ7>  (  (Untitled)'3,h , ,   UB )     *     +     ,     /0ghjklmnopqrstuvwxyz{|}~<* * h:\inf41\y2krl\ad581.wpf d:\inf41\forms\ad581.wpf >!?f eh Terminal 1 ! d !  d      Terminal eb Arial " ! 2     d    Arial ev Times New Roman  ! 2 F  d    Times New Roman ex Helvetica-Narrow " ! &     d    Helvetica-Narrow eb Roman  ! 2    B    Roman eh Helve-WP " ! &h   d     Helve-WP ej Wingdings  ! } F  d     Wingdings eX  ! ? !  d     eh MS Serif  ! ? !  d     MS Serif ed Modern 2 ! 2    B    Modern ej Bodoni-WP  ! ? !  d     Bodoni-WP er MS Sans Serif " ! ? !  d    MS Sans Serif ed System " ! XS  d    System er CG Times (WN)  ! ? !  d    CG Times (WN) ef Courier 1 ! d !  d     Courier en Univers ATT " ! ? !  d     Univers ATT ep Times CG ATT  ! ? !  d     Times CG ATT ep Arial Narrow " ! &     d     Arial Narrow ?]Ad A{?%2z jX c:\inf41\database\ AD581.DBFhistory   i$SSN     h SSN i%NAME  P   h NAMEP i+agency_co0     h  AGENCY_CO0 i+date_sepa1     h  DATE_SEPA1 i)lump_sum     h LUMP_SUM i%COMP     h COMP i'tax_20     h TAX_20 i)minus_sl     h MINUS_SL i)pay_cola     h PAY_COLA i(pay_auo     h PAY_AUO i+RATE_HRS_2     h  RATE_HRS_2 i+RATE_HRS_3     h  RATE_HRS_3 i+RATE_HRS_4     h  RATE_HRS_4 i+RATE_HRS_5     h  RATE_HRS_5 i+DATE_LUMP6     h  DATE_LUMP6 i+DATE_LUMP7     h  DATE_LUMP7 i+DATE_LUMP8     h  DATE_LUMP8 i$LSP     h LSP i)HRS_PAID     h HRS_PAID i+USAGE_CODE     h  USAGE_CODE i+ACCT_DATA9      h  ACCT_DATA9  i+ACCT_DAT10     h  ACCT_DAT10 i+ACCT_DAT11      h  ACCT_DAT11  i+ACCT_DAT12     h  ACCT_DAT12 i+ACCT_DAT13      h  ACCT_DAT13  i+ACCT_DAT14     h  ACCT_DAT14 i+ACCT_DAT15      h  ACCT_DAT15   i+ACCT_DAT16     h  ACCT_DAT16  i+ACCT_DAT17      h  ACCT_DAT17   i+ACCT_DAT18     h  ACCT_DAT18 i+ACCT_DAT19      h  ACCT_DAT19  i+ACCT_DAT20     h  ACCT_DAT20 i+ACCT_DAT21  !    h  ACCT_DAT21  i+ACCT_DAT22 "    h  ACCT_DAT22 i+ACCT_DAT23  #    h  ACCT_DAT23  i+ACCT_DAT24 $    h  ACCT_DAT24 i+ACCT_DAT25  %    h  ACCT_DAT25  i+ACCT_DAT26 &    h  ACCT_DAT26 i+ACCT_DAT27  '    h  ACCT_DAT27  i+ACCT_DAT28 (    h  ACCT_DAT28 i)TOTAL_LN ) !   h TOTAL_LN! i(REMARKS  *    h REMARKS  i*EMPL_CODE + &   h EMPL_CODE& i%DATE ,    h DATE i+CONTACT_29 -    h  CONTACT_29 i+CONTACT_30 .    h  CONTACT_30 i+CONTACT_31 /    h  CONTACT_31 i+CONTACT_32 0    h  CONTACT_32 i+CONTACT_33 1    h  CONTACT_33  i+FIRST_WK34 2    h  FIRST_WK34 i+FIRST_WK35 3    h  FIRST_WK35 i+FIRST_WK36 4    h  FIRST_WK36  i+FIRST_WK37 5    h  FIRST_WK37  i+FIRST_WK38 6    h  FIRST_WK38  i+FIRST_WK39 7    h  FIRST_WK39  i+FIRST_WK40 8    h  FIRST_WK40  i+SECOND_W41 9    h  SECOND_W41 i+SECOND_W42 :    h  SECOND_W42 i+SECOND_W43 ;    h  SECOND_W43  i+SECOND_W44 <    h  SECOND_W44  i+SECOND_W45 =    h  SECOND_W45  i+SECOND_W46 >    h  SECOND_W46  i+SECOND_W47 ?    h  SECOND_W47  i+AUDIT_FO48 @    h  AUDIT_FO48  i+AUDIT_FO49 A    h  AUDIT_FO49 i+AUDIT_FO50 B    h  AUDIT_FO50 i+AUDIT_FO51 C    h  AUDIT_FO51 i+AUDIT_FO52 D    h  AUDIT_FO52 i+AUDIT_FO53 E    h  AUDIT_FO53 i+AUDIT_FO54 F    h  AUDIT_FO54 i+AUDIT_FO55 G    h  AUDIT_FO55 i+AUDIT_FO56 H    h  AUDIT_FO56 i+AUDIT_FO57 I    h  AUDIT_FO57 i+AUDIT_FO58 J    h  AUDIT_FO58 i+AUDIT_FO59 K    h  AUDIT_FO59 i+AUDIT_FO60 L    h  AUDIT_FO60 i+AUDIT_FO61 M    h  AUDIT_FO61  i+AUDIT_FO62! N    h  AUDIT_FO62! i+AUDIT_FO63" O    h  AUDIT_FO63" i+AUDIT_FO64# P    h  AUDIT_FO64# i+AUDIT_FO65& Q    h  AUDIT_FO65& i+AUDIT_FO66' R    h  AUDIT_FO66' i+AUDIT_FO67( S    h  AUDIT_FO67( i+AUDIT_FO68) T    h  AUDIT_FO68) i+AUDIT_FO69, U    h  AUDIT_FO69, i+AUDIT_FO70- V    h  AUDIT_FO70- i+AUDIT_FO71. W    h  AUDIT_FO71. i+AUDIT_FO72/ X    h  AUDIT_FO72/ i)LEAVE_YR Y    h LEAVE_YR i(LEAVE_C Z    h LEAVE_C i+SERVICE_73 [    h  SERVICE_73 i$EOD \    h EOD i&RATE1 ]    h RATE1 i&RATE2 ^    h RATE2 i&RATE3 _    h RATE3 i+AUTHORIZ74  `    h  AUTHORIZ74 i+AUTHRIZE75 a 7   h  AUTHRIZE757 i*DATE_SIGN b    h DATE_SIGN i+INI_DATE76 c    h  INI_DATE76 i+INI_DATE77 d    h  INI_DATE77 i*LEAVE_YR2 e    h LEAVE_YR2 e $ SSN Character   % NAME Character P + AGENCY_CO0 Character  & DATE_SEPA1 Date  ) LUMP_SUM Character  % COMP Character  ' TAX_20 Character  ) MINUS_SL Character   ) PAY_COLA Character   ( PAY_AUO Character   ) RATE_HRS_2 Numeric  ) RATE_HRS_3 Numeric  ) RATE_HRS_4 Numeric  ) RATE_HRS_5 Numeric  & DATE_LUMP6 Date  & DATE_LUMP7 Date  & DATE_LUMP8 Date  $ LSP Character  ' HRS_PAID Numeric  + USAGE_CODE Character  & ACCT_DATA9 Memo    ) ACCT_DAT10 Numeric  & ACCT_DAT11 Memo    ) ACCT_DAT12 Numeric  & ACCT_DAT13 Memo    ) ACCT_DAT14 Numeric  & ACCT_DAT15 Memo    ) ACCT_DAT16 Numeric  & ACCT_DAT17 Memo    ) ACCT_DAT18 Numeric  & ACCT_DAT19 Memo    ) ACCT_DAT20 Numeric  & ACCT_DAT21 Memo    ) ACCT_DAT22 Numeric  & ACCT_DAT23 Memo    ) ACCT_DAT24 Numeric  & ACCT_DAT25 Memo    ) ACCT_DAT26 Numeric  & ACCT_DAT27 Memo    ) ACCT_DAT28 Numeric  ) TOTAL_LN Character ! # REMARKS Memo    * EMPL_CODE Character &   DATE Date  + CONTACT_29 Character   + CONTACT_30 Character   + CONTACT_31 Character  + CONTACT_32 Character   + CONTACT_33 Character   + FIRST_WK34 Character   + FIRST_WK35 Character   + FIRST_WK36 Character   + FIRST_WK37 Character   + FIRST_WK38 Character   + FIRST_WK39 Character   + FIRST_WK40 Character   + SECOND_W41 Character   + SECOND_W42 Character   + SECOND_W43 Character   + SECOND_W44 Character   + SECOND_W45 Character   + SECOND_W46 Character   + SECOND_W47 Character   ) AUDIT_FO48 Numeric  ) AUDIT_FO49 Numeric  ) AUDIT_FO50 Numeric  ) AUDIT_FO51 Numeric  ) AUDIT_FO52 Numeric  ) AUDIT_FO53 Numeric  ) AUDIT_FO54 Numeric  ) AUDIT_FO55 Numeric  ) AUDIT_FO56 Numeric  ) AUDIT_FO57 Numeric  ) AUDIT_FO58 Numeric  ) AUDIT_FO59 Numeric  ) AUDIT_FO60 Numeric  ) AUDIT_FO61 Numeric  ) AUDIT_FO62 Numeric  ) AUDIT_FO63 Numeric  ) AUDIT_FO64 Numeric  ) AUDIT_FO65 Numeric  ) AUDIT_FO66 Numeric  ) AUDIT_FO67 Numeric  ) AUDIT_FO68 Numeric  ) AUDIT_FO69 Numeric  ) AUDIT_FO70 Numeric  ) AUDIT_FO71 Numeric  ) AUDIT_FO72 Numeric  ) LEAVE_YR Character  * LEAVE_YR2 Character  ( LEAVE_C Character  & SERVICE_73 Date  $ EOD Character  $ RATE1 Numeric  $ RATE2 Numeric  $ RATE3 Numeric  + AUTHORIZ74 Character  + AUTHRIZE75 Character 7 % DATE_SIGN Date  + INI_DATE76 Character  & INI_DATE77 Date  ?@d @}?Og^^ q& 1 SOCIAL SECURITY NUMBER SSN!"-./56789:;>?@ABCG                         < #     $     '  - -   Y@$.,! *  < &&&& = &&&&    ^~ }& 2 NAME (Last, First, Middle Initial)~ NAME!"-./567>89:>;>?@ABCG                         < #     $     ' P - -   Y@$.,! *  < &&&& = x&&&    m^& q& 3  q& AGENCY  q&c CODE& Xagency_co0!"-./56789:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&&&    xX q&v 4  q& DATE OF  q&$ SEPARATION  }5 (If Applicable)   !"#      _                      <  &&&&    X q& 5  q&t TYPE PYMT.  d 0 = Interim  d 1 = Final   !"#                            <  &&&&    XF q&7 LUMP  q&V SUM lump_sum!"-./56789:;>?@ABCG                         < #    P $    P '   Y@$.,! *  < && = &&    B F q&* COMP COMP!"-./56789:;>?@ABCG                         < #    Z $    Z '   Y@$.,! *  < && = &&&&     ^ q&  6  q&C 20% TAX  !"#                            <  &&&&    x, d 0 = N/A  d 1 = 20% Tax   !"#                            <  &&&&    2 F tax_20!"-./56789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&&    ^ q& 7  q& Minus S/L ) !"#                            <  &&&&    p ^ q&J 8  q&C PAY COLA 2 !"#                            <  &&&&     ^ q&J 9  q&b PAY AUO 8 !"#                            <  &&&&     q&q UNITED STATES  q& DEPARTMENT OF AGRICULTURE ? !"#                            <  &&&&    , d 0 = N/A  d 1 = Forgiven * !"#      b                      <  &.    8X d 0 = No  d 1 = Yes 3 !"#                            <  &&&&    XX d 0 = No  d 1 = Yes : !"#                            <  &&&&    4F minus_sl!"-./5)6789:;>?@ABCG                         < #     $     '    Y@$.,! *  < &&&& = &&&&    4pF  pay_cola! "-./526789:;>?@ABCG                         < #     $     '    Y@$.,! *  < &&&& = &&&&    3F  pay_auo! "-./586789:;>?@ABCG                         < #     $     '    Y@$.,! *  < &&&& = &&&&    L & LUMP SUM LEAVE OR  & COMPENSATION TIME  &x PAYMENTS ? !"#      Z                      <  &&&&    ^n q& 10 WAGE EMPLOYEE SHIFT RATE HOURS   !"#                            <  &&&&    ^n RATE_HRS# $(),- . /012456789                                  < ! "$%&')*                     Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    ?    > q& 1ST"$%&')*                      Y@$.,!  (     > q& 2ND"$%&')*                      Y@$.,!  (     > q& 3RD"$%&')*                      Y@$.,!  (     > q& VAR"$%&')*                      Y@$.,!  (     7RATE_HRS_2"$%&')*                     !<6 !<6G$.,!  ( &&&    7RATE_HRS_3"$%&')*                     !<6 !<6G$.,!  ( &&&    7RATE_HRS_4"$%&')*                     !<6 !<6G$.,!  ( &&&    7RATE_HRS_5" $%&')*                     !<6 !<6G$.,!  ( &&&     q& 11 DATES LUMP SUM PAYMENT CARRIES THROUGH # !"#                            <  &&&&     DATE_LUMP_SUM# $(),#- ./012456789                                  < ! " $% &')*                     Y@$.,!  ( &&&& 3 &&&&    A     A     ?     ?     ?~    q d A A/L RESTORED  d  MO DAY YEAR" $}% &')*      Z                Y@$.,!  (     w d B A/L WITHIN CEILING  d  MO DAY YEAR" $}% &')*      Z                Y@$.,!  (     t~ d C A/L ABOVE CEILING  d  MO DAY YEAR" $}%&')*      Z                Y@$.,!  ( &    7DATE_LUMP6"$% &')*                     Y@$.,!  (     8@HASVALUE (Date_LUMP6) and #UPDATONLY  1 DATE_LUMP_SUMDate_LUMP6  ~      =@datevalue (@datetext (Date_LUMP6, "%2-%1-%5")) 1 DATE_LUMP_SUMDate_LUMP6   %2-%1-%5  "  #  :@VALUE (@DATETEXT (Date_LUMP6,"%5"))<=29 1 DATE_LUMP_SUMDate_LUMP6   %5  "  x         @SETVALUE (Date_LUMP6,@DATEVALUE (@CONCAT (@DATETEXT (Date_LUMP6,"%2-%1"),"-20",@DATETEXT (Date_LUMP6,"%5"))),TRUE) 3 DATE_LUMP_SUMDate_LUMP6 1 DATE_LUMP_SUMDate_LUMP6   %2-%1  "   -20 1 DATE_LUMP_SUMDate_LUMP6   %5  "      #       7DATE_LUMP7"$% &')*                     Y@$.,!  (     8@HASVALUE (Date_LUMP7) and #UPDATONLY  1 DATE_LUMP_SUMDate_LUMP7  ~      =@datevalue (@datetext (Date_LUMP7, "%2-%1-%5")) 1 DATE_LUMP_SUMDate_LUMP7   %2-%1-%5  "  #  :@VALUE (@DATETEXT (Date_LUMP7,"%5"))<=29 1 DATE_LUMP_SUMDate_LUMP7   %5  "  x         ?[?N@SETVALUE (Date_LUMP7,@DATEVALUE (@CONCAT (@DATETEXT (Date_LUMP7,"%2-%1"),"-20",@DATETEXT (Date_LUMP7,"%5"))),TRUE) 3 DATE_LUMP_SUMDate_LUMP7 1 DATE_LUMP_SUMDate_LUMP7   %2-%1  "   -20 1 DATE_LUMP_SUMDate_LUMP7   %5  "      #       7~DATE_LUMP8"$%&')*                     Y@$.,!  (     8@HASVALUE (Date_LUMP8) and #UPDATONLY  1 DATE_LUMP_SUMDate_LUMP8  ~      =@datevalue (@datetext (Date_LUMP8, "%2-%1-%5")) 1 DATE_LUMP_SUMDate_LUMP8   %2-%1-%5  "  #  :@VALUE (@DATETEXT (Date_LUMP8,"%5"))<=29 1 DATE_LUMP_SUMDate_LUMP8   %5  "  x         @SETVALUE (Date_LUMP8,@DATEVALUE (@CONCAT (@DATETEXT (Date_LUMP8,"%2-%1"),"-20",@DATETEXT (Date_LUMP8,"%5"))),TRUE) 3 DATE_LUMP_SUMDate_LUMP8 1 DATE_LUMP_SUMDate_LUMP8   %2-%1  "   -20 1 DATE_LUMP_SUMDate_LUMP8   %5  "      #       L, q& 12 HOURS AP-  q& PLICABLE TO A  !"#      Z                      <  && &    y(#RX q& 13 TOTAL  q& HOURS TO  q& BE PAIDR HRS_PAID!"-./5K6789:;>?@ABCG                         < #    Z $    Z '    !<6 !<6G$.,! *  < &&  = &&&&    ~^. %x &6 GENERAL INSTRUCTIONS  O !"#                            <  &&<&    ^z %, &{ SEE REVERSE FOR COMPLETION INSTRUCTIONS OF EACH BLOCK. O !"#                            <  &&&&    Z    &   Prepare a separate document for either a Lump Sum Payment or a Compensatory Time Payment. Do not complete blocks 7  & through 12 for a Compensatory Time Payment.  E !"#                            <  &&&&    ^  q& 24 ACCOUNTING DATA USAGE CODE  !"#                            <  &&&&    y^n  ? 0 = Complete Block 25  ? 1 = Use Data Base USAGE_CODE!"-./56789:;>?@ABCG                         < #     $     '   Y@$.,! *  < && = &&&&    wB q& 26 TOTAL LINES OF  q&  ACCOUNTING DATA TOTAL_LN!"-./56789:;>?@ABCG                         < #    K $    K ' !  Y@$.,! *  < && = &&    ^6h q& 25 ACCOUNTING DATA  ACCT_DATA#$(),-.)/01)2456789                                  < ! "$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     A     A     A     A     A     A     A     A     ?    ?B    ?J    > q& (1)"$%&')*                       Y@$.,!  (     5BACCT_DATA9"$%&')*                       Y@$.,!  (     7JACCT_DAT10"$%&')*                       $.,!  ( &&    > q& (2)"$%&')*                       Y@$.,!  (     5BACCT_DAT11"$%&')*                       Y@$.,!  (     7JACCT_DAT12"$%&')*                       $.,!  ( &&&    ? q& (3) "$%&')*                       Y@$.,!  (     5BACCT_DAT13"$%&')*                       Y@$.,!  (     7JACCT_DAT14"$%&')*                       $.,!  ( &&&    > q& (4) "$%&')*                       Y@$.,!  (     5BACCT_DAT15 "$%&')*                       Y@$.,!  (     7JACCT_DAT16 "$%&')*                       $.,!  ( &&&    > q& (5) "$%&')*                       Y@$.,!  (     5BACCT_DAT17 "$%&')*                       Y@$.,!  (     7JACCT_DAT18" $%&')*                       $.,!  ( &&&    > q& (6)"!$%&')*                       Y@$.,!  (     5BACCT_DAT19""$%&')*                       Y@$.,!  (     7JACCT_DAT20"#$%&')*                       $.,!  ( &&&    > q& (7)"$$%&')*                       Y@$.,!  (     5BACCT_DAT21"%$%&')*                       Y@$.,!  (     7JACCT_DAT22"&$%&')*                       $.,!  ( &&&    > q& (8)"'$%&')*                       Y@$.,!  (     5BACCT_DAT23"($%&')*                       Y@$.,!  (     7JACCT_DAT24")$%&')*                       $.,!  ( &&&    > q& (9)"*$%&')*                       Y@$.,!  (     5BACCT_DAT25"+$%&')*                       Y@$.,!  (     7JACCT_DAT26",$%&')*                       $.,!  ( &&&    ? q& (10)"-$%&')*                       Y@$.,!  (  &&    5BACCT_DAT27".$%&')*                       Y@$.,!  (     7JACCT_DAT28"/$%&')*                       $.,!  ( &&&    KH  q& 27 REMARKS REMARKS!"-./5,67%89:%;>?@ABCG                         < #     $     '  =  Y@$.,! *  < &&&& = x&&&    [X q& 28 EMPLOYING OFFICE CODE EMPL_CODE!"-./5,6#789:;>?@ABCG                         < #     $     ' &  Y@$.,! *  < &&&& = &&&&     q& 29 REHIRE DATE AFTER SEPARAT'N ?# !"#                            <  &&&&    ?d?O/ DATE!"-./5?6$789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&&    2@HASVALUE (Date) and #UPDATONLY    DATE  ~      7@datevalue (@datetext (Date, "%2-%1-%5"))   DATE   %2-%1-%5  "  #  4@VALUE (@DATETEXT (Date,"%5"))<=29   DATE   %5  "  x         o@SETVALUE (Date,@DATEVALUE (@CONCAT (@DATETEXT (Date,"%2-%1"),"-20",@DATETEXT (Date,"%5"))),TRUE)   DATE   DATE   %2-%1  "   -20   DATE   %5  "      #       ~F q& 30 T&A CONTACT POINT ,&% !"#                            <  &&&&     contact_pint#$(),,-'.%/012456789                                  < ! "0$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?     ?     ?F     ?     ?    A  q& AGENCY"1$%&')*                       Y@$.,!  (     @  q& STATE"2$%&')*                       Y@$.,!  (     ?F q& TOWN"3$% &')*                       Y@$.,!  (     ?  q& UNIT"4$%&')*                       Y@$.,!  (     C q& TIMEKPR."5$%&')*                       Y@$.,!  (     5 CONTACT_29"6$%&')*                      Y@$.,!  (     5 CONTACT_30"7$%&')*                      Y@$.,!  (     5FCONTACT_31"8$% &')*                     Y@$.,!  (     5 CONTACT_32"9$%&')*                      Y@$.,!  (     5CONTACT_33 ":$%&')*                      Y@$.,!  (     ^ % }& 31 TOUR OF DUTY (Hours Per Day) )O !"#                            <  &&&&    ^f!X q&x 1ST WEEK FIRST_WK#$(),-*.)/01)2456789                                  < ! ";$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?    ?    ?    ?    ?     ?    ?    > q& SUN"<$%&')*                       Y@$.,!  (     > q& MON"=$%&')*                       Y@$.,!  (     ? q& TUES">$%&')*                       Y@$.,!  (     > q& WED"?$%&')*                       Y@$.,!  (     @  q& THURS"@$%&')*                       Y@$.,!  (     > q& FRI"A$%&')*                       Y@$.,!  (     > q& SAT"B$%&')*                       Y@$.,!  (     5FIRST_WK34"C$%&')*                      Y@$.,!  (     5FIRST_WK35"D$%&')*                      Y@$.,!  (     5FIRST_WK36 "E$%&')*                      Y@$.,!  (     5FIRST_WK37 "F$%&')*                      Y@$.,!  (     5 FIRST_WK38 "G$%&')*                      Y@$.,!  (     5FIRST_WK39 "H$%&')*                      Y@$.,!  (     5FIRST_WK40 "I$%&')*                      Y@$.,!  (     f!X q&k 2ND WEEK SECOND_WK#$(),,-*.%/01%2456789                                  < ! "J$%&')*                      Y@$.,!  ( &&&& 3 &&&&    A     A     ?     ?    ?    ?X    ?X    ?X    ?    >  q& SUN"$%&')*                       Y@$.,!  (     > q& MON"$%&')*                       Y@$.,!  (     ? q& TUES"$%&')*                       Y@$.,!  (     >X q& WED"$%&')*                       Y@$.,!  (     @X q& THURS"$%&')*                       Y@$.,!  (     >X q& FRI"$%&')*                       Y@$.,!  (     > q& SAT"$%&')*                       Y@$.,!  (     5 SECOND_W41"$%&')*                      Y@$.,!  (     5SECOND_W42"$%&')*                      Y@$.,!  (     5SECOND_W43 "$%&')*                      Y@$.,!  (     5XSECOND_W44 "$%&')*                      Y@$.,!  (     5XSECOND_W45 "$%&')*                      Y@$.,!  (     5XSECOND_W46 "$%&')*                      Y@$.,!  (     5SECOND_W47 "$%&')*                      Y@$.,!  (     ^#  audit_for_leave#$(),--.B/012456789                                  < ! "K$%&')*                      Y@$.,!  ( &&&& 3 &&&&    ??OA     A     A     A     A     A     A     A     ?,    ?    ?     ?x     ?     ?     O4 q& 32 AUDIT FOR LEAVE"L$%&')*                       Y@$.,!  (     *"M$%&')*                      Y@$.,!  (     J q&[ BROUGHT FORWARD"N$% &')*                       Y@$.,!  (     Ax q& EARNED"O$% &')*                       Y@$.,!  (     ? q&  USED"P$% &')*                       Y@$.,!  (     K q&n BALANCE OR TOTAL"Q$% &')*                       Y@$.,!  (     ,  q&@ A  q&f   q&F T  q&: Y  q&@ P  q&@ E  q&f   q&F L  q&@ E  q&@ A  q&@ V  q&@ E"R$%& ')*                       Y@$.,!  (     J & Restored Annual"S$%&')*                       Y@$.,!  ( &&    ,"T$% &')*                       Y@$.,!  (     ,x "U$% &')*                       Y@$.,!  (     , "V$% &')*                       Y@$.,!  (     7AUDIT_FO48 "W$% &')*                       $.,!  ( & &&    ,,`  "X$%& ')*                      Y@$.,!  (     A & Annual "Y$%&')*                       Y@$.,!  ( &&    7AUDIT_FO49"Z$% &')*                       $.,!  ( & &&    7xAUDIT_FO50"[$% &')*                       $.,!  ( & &&    7AUDIT_FO51"\$% &')*                       $.,!  ( & &&    7AUDIT_FO52"]$% &')*                       $.,!  (  &    ,,"^$%& ')*                      Y@$.,!  (     ? & Sick"_$%&')*                       Y@$.,!  ( &&    7AUDIT_FO53"`$% &')*                       $.,!  ( & &&    7xAUDIT_FO54"a$% &')*                       $.,!  ( & &&    7AUDIT_FO55"b$% &')*                       $.,!  ( & &&    7AUDIT_FO56"c$% &')*                       $.,!  (  &    ,,@"d$%&')*                      Y@$.,!  (     ? & AWOP"e$%&')*                       Y@$.,!  ( &&    7AUDIT_FO57"f$% &')*                       $.,!  ( & &&    7xAUDIT_FO58"g$% &')*                       $.,!  ( & &&    7AUDIT_FO59"h$% &')*                       $.,!  ( & &&    7AUDIT_FO60"i$% &')*                       $.,!  (  &    ,,"j$%&')*                      Y@$.,!  (     A & Comp"k$%&')*                       Y@$.,!  ( &&    7AUDIT_FO61 "l$% &')*                       $.,!  ( & &    7xAUDIT_FO62!"m$% &')*                       $.,!  ( & &&    7AUDIT_FO63""n$% &')*                       $.,!  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(  &    vl # q& B LEAVE YEAR E-  !"#                            <  &&&&    gl $ &0 19, LEAVE_YR!"%)Please enter a 4 digit year.-./5E6.7 89:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&    Ql & q& C LEAVE CATEGORY LEAVE_C!"-./5E607 89: ;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&&    5l ' SERVICE_73!"-./5E627 89: ;>?@ABCG                         < #    Z $    Z '   Y@$.,! *  < && = &&    8@HASVALUE (SERVICE_73) and #UPDATONLY  !  SERVICE_73  ~      =@datevalue (@datetext (SERVICE_73, "%2-%1-%5")) !  SERVICE_73   %2-%1-%5  "  #  :@VALUE (@DATETEXT (SERVICE_73,"%5"))<=29 !  SERVICE_73   %5  "  x         ??[M@SETVALUE (SERVICE_73,@DATEVALUE (@CONCAT (@DATETEXT (SERVICE_73,"%2-%1"),"-20",@DATETEXT (SERVICE_73,"%5"))),TRUE) #  SERVICE_73 !  SERVICE_73   %2-%1  "   -20 !  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INI_DATEINI_DATE77 , INI_DATEINI_DATE77   %2-%1  "   -20 , INI_DATEINI_DATE77   %5  "      #       |!1x d FORM AD-581 (REV. 2/83) F?  !"#                            <  &&&&    ^10  d This form was electronically produced by Elite Federal Forms, Inc. ? !"#                            <  &&    oF }0 Month  !"#                            <  &&&&    mxF }= Day   !"#                            <  &&&&    nF }c Year  !"#                            <  &&&&    8x date_sepa1!"-./567 89:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&&    8@HASVALUE (date_sepa1) and #UPDATONLY  !  date_sepa1  ~      =@datevalue (@datetext (date_sepa1, "%2-%1-%5")) !  date_sepa1   %2-%1-%5  "  #  :@VALUE (@DATETEXT (date_sepa1,"%5"))<=29 !  date_sepa1   %5  "  x         @SETVALUE (date_sepa1,@DATEVALUE (@CONCAT (@DATETEXT (date_sepa1,"%2-%1"),"-20",@DATETEXT (date_sepa1,"%5"))),TRUE) #  date_sepa1 !  date_sepa1   %2-%1  "   -20 !  date_sepa1   %5  "      #        V       <    iX q& HOURS # !"#                            <  &&&&    h q& FRAC ( !"#                            <  &&&&    o }{ Month ?$ !"#                            <  &&&&    ml   } Day E$ !"#                            <  &&&&    n# } Year K$ !"#                            <  &&&&     Vx$        <     V&`        <     Vz &`        <     V*       <    g *, q& (1) 6 !"#                            <  &&&&    g V,, q& (2) 8 !"#                            <  &&&&    g -, q& (3) : !"#                            <  &&&&    l ' q& D SERVICE COMPUTATION  q&  DATE E2  !"#      Z                      <  &    6z >0H  AUTHRIZE75!""-./56=789:;>?@ABCG                         < #     $     ' 7  Y@$.,! *  < &&&& = &&&&     V$*       <    @4!^ l LSP LSP! "-./5F6 789:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&&    X^ q& LAST  q& DAY OF  q& LSP A  !"#      P                      <  &&     V 4       <     V4       <     V 4       <     V4       <    5l $, LEAVE_YR2!"-./5E6.7 89:;>?@ABCG                         < #     $     '   Y@$.,! *  < &&&& = &&&    &@HASVALUE (LEAVE_YR)   LEAVE_YR  ~     $@sum("1900", LEAVE_YR)   1900   LEAVE_YR    k  ?=(defg h =O<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=Zt.&Z